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Minnesota rates for HCPCS J0275

Alprostadil urethral suppository (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.21 / $49.21 / $49.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.36 / $40.84 / $49.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.71 / $83.41 / $146.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.61 / $69.51 / $69.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.28 / $84.80 / $103.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.89 / $31.24 / $33.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.51 / $74.98 / $97.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.63 / $26.63 / $28.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $60.59 / $83.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.87 / $71.44 / $98.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.44 / $71.44 / $129.51